A4290 Sacral nerve stim test lead
Also known as: sacral nerve lead, test electrode, percutaneous lead
Sacral nerve stimulation test lead, an electrode lead used during temporary testing of sacral neuromodulation to assess efficacy before permanent implant placement.
In Plain Language
sacral nerve test wire; temporary nerve stimulation electrode
Clinical Context
Used in sacral neuromodulation procedures for overactive bladder, urinary urge incontinence, and fecal incontinence. Trial period precedes permanent device implantation.
RVU Information
CPT A4290 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4290?
CPT A4290 (Sacral nerve stim test lead) is a A Codes code. Sacral nerve stimulation test lead, an electrode lead used during temporary testing of sacral neuromodulation to assess efficacy before permanent implant placement.
Does Medicare cover A4290?
Medicare coverage for A4290 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in sacral neuromodulation procedures for overactive bladder, urinary urge incontinence, and fecal incontinence. Trial period precedes permanent device implantation. A physician order is typically required.
When is CPT A4290 used?
Used in sacral neuromodulation procedures for overactive bladder, urinary urge incontinence, and fecal incontinence. Trial period precedes permanent device implantation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.